1,720,982 research outputs found
Cognitive Behavioural Therapy (CBT) for Managing Tinnitus, Hyperacusis, and Misophonia: The 2025 Tonndorf Lecture
No full textCognitive behavioural therapy (CBT) is an evidence-based intervention for managing distress associated with tinnitus, hyperacusis, and misophonia. This paper summarises key points from the 2025 Tonndorf Lecture presented at the third World Tinnitus Congress and the 14th International Tinnitus Seminar in Poland. The lecture addressed (1) the theoretical foundations of CBT for these conditions, (2) clinical evidence on CBT delivered by psychologists, audiologists, and digital self-help, and (3) the proportion of patients who may benefit from CBT. Research demonstrates that CBT can effectively reduce distress related to tinnitus, hyperacusis, and misophonia. Both psychologist- and audiologist-delivered CBT approaches have demonstrated significant improvements in reducing the impact of tinnitus, hyperacusis, and misophonia on patients’ quality of life, while guided internet-based CBT also demonstrates positive outcomes. Unguided internet-based CBT is also effective, though it faces challenges such as higher dropout rates. Despite these promising results, not all patients experience the same level of benefit. Some continue to experience distress even after completing CBT, highlighting the need for alternative or complementary interventions and ongoing support. This paper estimates that approximately 1 in 52 individuals with tinnitus require CBT, indicating that while tinnitus is relatively common, the need for intensive therapy is comparatively small. To enhance treatment outcomes, future research should compare the effectiveness of psychologist- and audiologist-delivered CBT, explore hybrid models that combine face-to-face and digital interventions, and address challenges with internet-based CBT, particularly for hyperacusis and misophonia. Furthermore, incorporating neuroimaging and physiological measures in future randomised controlled trials could provide objective insights into the neural mechanisms underlying symptom improvement, ultimately helping to refine CBT interventions. Identifying characteristics of non-responders to CBT may also guide the development of more tailored therapeutic approaches
The effect of middle ear stiffness changes on noise hearing thresholds in presence of a high level background pure tone
No full text
Internet-based Cognitive Behavioral Therapy for Tinnitus: Insights from Health Care Professionals
No full textGabapentin for tinnitus: A systematic review
No full textObjective The main aim of this study was to assess the effect of gabapentin on tinnitus via a systematic review. Data Sources An electronic search of literature as well as a hand search was conducted. Study Selection Only double-blind randomised controlled trials (RCTs) that met all of the inclusion criteria were included to this review. Two studies that met the inclusion criteria were included to the review. 14 studies were excluded. Data Extraction The Cochrane Collaboration tool for assessing risk of bias was used for quality assessment of the included studies. Data Synthesis Due to inadequate details in reporting the data in the included studies conducting a meta-analysis was not appropriate. Hence, qualitative synthesis and interpretation of the data was carried out. Conclusions The authors of the both studies reported that gabapentin was not superior to placebo in their primary outcomes. Following the assessment of risk of bias, one of the included studies was judged to be at high risk of attrition bias and reporting bias and the other one was judged to have low risk of bias. There were significant within-study clinical heterogeneities with regard to the baseline Tinnitus Handicap Inventory scores, duration of tinnitus as well as severity of hearing loss in the included trails. This is important because a treatment effective in a specific subgroup of tinnitus may not be detectable when tested in a heterogeneous population. This review concludes that there is insufficient evidence regarding the effect of gabapentin on tinnitus. Key words: Tinnitus, gabapentin, systematic review, hearing impairmentObjective The main aim of this study was to assess the effect of gabapentin on tinnitus via a systematic review. Data Sources An electronic search of literature as well as a hand search was conducted. Study Selection Only double-blind randomised controlled trials (RCTs) that met all of the inclusion criteria were included to this review. Two studies that met the inclusion criteria were included to the review. 14 studies were excluded. Data Extraction The Cochrane Collaboration tool for assessing risk of bias was used for quality assessment of the included studies. Data Synthesis Due to inadequate details in reporting the data in the included studies conducting a meta-analysis was not appropriate. Hence, qualitative synthesis and interpretation of the data was carried out. Conclusions The authors of the both studies reported that gabapentin was not superior to placebo in their primary outcomes. Following the assessment of risk of bias, one of the included studies was judged to be at high risk of attrition bias and reporting bias and the other one was judged to have low risk of bias. There were significant within-study clinical heterogeneities with regard to the baseline Tinnitus Handicap Inventory scores, duration of tinnitus as well as severity of hearing loss in the included trails. This is important because a treatment effective in a specific subgroup of tinnitus may not be detectable when tested in a heterogeneous population. This review concludes that there is insufficient evidence regarding the effect of gabapentin on tinnitus. Key words: Tinnitus, gabapentin, systematic review, hearing impairmen
The Sound Sensitivity Symptoms Questionnaire Version 2.0 (SSSQ2) as a Screening Tool for Assessment of Hyperacusis, Misophonia and Noise Sensitivity: Factor Analysis, Validity, Reliability, and Minimum Detectable Change
No full textBackground/Objectives: The Sound Sensitivity Symptoms Questionnaire version 2 (SSSQ2) is a brief clinical tool with six items designed to be used (1) as a measure for severity of sound sensitivity symptoms in general (based on its total score) and (2) as a checklist to screen different forms of sound sensitivity. The objective of this study was to assess the psychometric properties of the SSSQ2. Method: This was a cross-sectional study. A total of 451 people completed the online survey. A total of 154 people completed the survey twice with a two-week interval to establish test–retest reliability. The average age of the participants was 36.5 years (range 18 to 86 years). Results: Confirmatory factor analysis showed that the SSSQ2 is a one-factor questionnaire. Cronbach’s α was 0.80. The test–retest reliability was good for the total SSSQ2 score and was moderate for the sum of items 1 and 3 (indicating loudness hyperacusis), item 2 (for pain hyperacusis), item 4 (for misophonia), item 5 (for fear hyperacusis), and item 6 (for noise sensitivity). The minimum amount of change that constitutes a true change in the total SSSQ2 score is ≥5 points. Conclusions: The SSSQ2 can be used in clinical practice or research setting to measure the severity of general sound sensitivity as a one-factor questionnaire with acceptable internal consistency and good reliability. In addition, the individual items in the SSSQ2 can be used as a checklist to screen for various forms of sound sensitivity
Psychiatric Comorbidities in Hyperacusis and Misophonia: A Systematic Review
No full textBackground: The aim of this study was to conduct a systematic review of the research literature on the prevalence of psychiatric comorbidities in patients with hyperacusis and misophonia. Method: Four databases were searched: PubMed, PsycINFO, Scopus, and Web of Science (Wis)—last search conducted on the 16th of April 2024 to identify relevant studies. The methodological quality of each study was independently assessed using the JBI Critical Appraisal Checklist. Results: Five studies were included for the prevalence of psychiatric comorbidities in hyperacusis, and seventeen studies for misophonia. Among patients with hyperacusis, between 8% and 80% had depression, and between 39% and 61% had any anxiety disorder as measured via a diagnostic interview and/or self-report questionnaires. For misophonia, nine studies provided data on various forms of mood and anxiety disorders, with prevalences ranging from 1.1% to 37.3% and 0.2% to 69%, respectively. Conclusions: Although the 22 included studies varied considerably in design and scope, some recurring patterns of comorbidity were noted. However, apparent trends—such as the higher prevalence of mood and anxiety disorders compared to other psychiatric conditions—should be interpreted with caution, as most studies did not comprehensively assess a full range of psychiatric disorders. This likely skews prevalence estimates toward the conditions that were specifically investigated
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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